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Case Reports
. 2005 Apr 1;40(7):e63-6.
doi: 10.1086/428619. Epub 2005 Mar 4.

Milkers' nodules complicated by erythema multiforme and graft-versus-host disease after allogeneic hematopoietic stem cell transplantation for multiple myeloma

Wendolyn R Slattery  1 , Mark Juckett, William A Agger, Craig A Radi, Teri Mitchell, Rob Striker
Affiliations
Case Reports

Milkers' nodules complicated by erythema multiforme and graft-versus-host disease after allogeneic hematopoietic stem cell transplantation for multiple myeloma

Wendolyn R Slattery et al. Clin Infect Dis. .

Abstract

We describe a case of cow-transmitted parapoxvirus infection--also known as milkers' nodules--after a hematopoietic stem cell transplantation for multiple myeloma. The infection was complicated by erythema multiforme and acute exacerbation of graft-versus-host disease. Parapoxvirus was confirmed by electron microscopy. The natural history of milker's nodules in immunocompetent hosts is described and compared to that in our immunocompromised patient.

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